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Testicular torsion

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https://www.readbyqxmd.com/read/27915088/exploring-awareness-and-help-seeking-intentions-for-testicular-symptoms-among-heterosexual-gay-and-bisexual-men-in-ireland-a-qualitative-descriptive-study
#1
Mohamad M Saab, Margaret Landers, Josephine Hegarty
BACKGROUND: The incidence of malignant and benign testicular disorders among young men is on the rise. Evidence from three reviews suggest that men's knowledge of these disorders is lacking and their help-seeking intention for testicular symptoms is suboptimal. Qualitative studies have addressed men's awareness of testicular cancer, with none exploring their awareness of non-malignant diseases such as epididymitis, testicular torsion, and varicocele and none including sexual minorities...
November 28, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27900759/torsion-of-the-undescended-testis-detected-by-99mtc-testicular-scintigraphy-a-case-report
#2
Hamed Shayegani, Ghasemali Divband, Mahmoud Tavakkoli, Maliheh Banihasan, Ramin Sadeghi
We reported a case of torsion of the undescended testis in a 9-month-old boy which was diagnosed with 99mTc testicular scin-tigraphy. The scan showed diffuse increased activity in the location of the undescended testis and no photopenic area was visible. At surgery, torsion of the undescended testis was detected and fixed.
2016: Nuclear Medicine Review. Central & Eastern Europe
https://www.readbyqxmd.com/read/27899171/the-effects-of-melatonin-and-colchicine-on-ischemia-reperfusion-injury-in-experimental-rat-testicular-torsion-model
#3
Tamer Sekmenli, Metin Gunduz, Bahadır Öztürk, Pınar Karabağlı, Ilhan Ciftci, Gülsüm Tekin, Mustafa Yılmaz
PURPOSE: The aim of the present study is to investigate the efficiency of colchicine and melatonın in an experimental rat testicular torsion model in the light of histological and biochemical data. METHODS: A total of 34 Wistar albino male rats were randomly divided into 5 groups as: Group C (control, n=6), Group S (sham; underwent only left scrotal exploration, n=7), Group TD (torsion and detorsion; 6h of ischemia and 7days of reperfusion, n=7), Group TD/M (TD+Melatonin; 6h of ischemia and 7days of reperfusion and 7days of 17mg/kg intraperitoneal melatonin per day, n=7), group TD/Col (TD+Colchicine; 6h of ischemia and 7days of reperfusion and 7days of 1mg/kg oral colchicine per day, n=7)...
November 18, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27894425/pediatric-testicular-torsion
#4
REVIEW
Paul R Bowlin, John M Gatti, J Patrick Murphy
The pediatric patient presenting with acute scrotal pain requires prompt evaluation and management given the likelihood of testicular torsion as the underlying cause. Although other diagnoses can present with acute testicular pain, it is important to recognize the possibility of testicular torsion because the best chance of testicular preservation occurs with expeditious management. When testicular torsion is suspected, prompt surgical exploration is warranted. A delay in surgical management should not occur in an effort to obtain confirmatory imaging...
February 2017: Surgical Clinics of North America
https://www.readbyqxmd.com/read/27887757/hepatic-artery-rupture-in-a-young-man-with-abdominal-pain%C3%A2-and%C3%A2-a%C3%A2-testicular-mass
#5
Kevin S Barlotta, David Page
BACKGROUND: Male patients presenting to the emergency department (ED) with abdominal pain accompanied by a testicular mass should be evaluated for the presence of hernia, epididymitis, orchitis, and testicular torsion. When a patient presents with an asymptomatic testicular nodule or mass, the emergency physician should consider testicular carcinoma, a diagnosis that typically warrants no more than prompt urologic outpatient referral. CASE REPORT: We present a case involving a young male whose presenting complaint was abdominal pain...
November 22, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27836837/rare-urological-manifestation-of-henoch-sch%C3%A3-nlein-purpura-testicular-torsion
#6
Pim Oomens, Malou Derix, Laurent Fossion
The Henoch-Schönlein purpura (HSP) is a systemic vasculitis that mostly occurs in children. Besides the most common clinical manifestations such as palpable purpura, arthralgia, abdominal pain and renal disease, it can have urological manifestations. We report a rare case of a 2-year-old boy with the HSP who developed a testicular torsion under corticosteroid treatment.
November 11, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27792071/presentation-of-testicular-torsion-in-the-emergency-department
#7
Melanie Ann Kroger-Jarvis, Gordon Lee Gillespie
Testicular torsion is a urological emergency affecting 3.8 per 100,000 males younger than 18 years. Differential diagnosis of the acutely painful scrotum is crucial for the advance practice nurse to understand. Advanced practice nurses should consider the differential diagnosis of testicular torsion for any patient with testicular pain despite the patient's age, history, or physical examination findings. The standard of care for a patient with testicular pain to rule out testicular torsion is a Doppler ultrasound scan and an emergent urology consult...
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27765594/testicular-hypoplasia-is-driven-by-defective-vascular-formation
#8
Pankaj Dangle, Cláudia Salgado, Miguel Reyes-Mugica, Francis Schneck, Michael Ost, Sunder Sims-Lucas
OBJECTIVE: To determine if vanishing testis could result from a fault in embryological development as a result of an arrest in endothelial cell migration rather than secondary to just a random physical torsion/twist. .A testicular nubbin or vanishing testis is considered to be secondary to a neonatal torsion and is usually associated with a hemosiderin deposit. METHODS: Cases of vanishing testis excision were compared with age-matched controls from cadaveric testes without known genitourinary pathology...
October 17, 2016: Urology
https://www.readbyqxmd.com/read/27760057/atypical-testicular-torsion-we-must-be-cautious-in-the-course-of-manual-detorsion
#9
Mustafa Güneş, Mehmet Umul, Muammer Altok
Testicular torsion is a common important urological emergency. Testicles usually undergo various degrees of rotation in a medial (inward) direction. Manual detorsion is a critical maneuver, allowing to prevent testis viability in patients with delay to get into the operation room. Testis torsion rarely occurs in lateral direction. It is important for patients undergoing manual detorsion. Hereby, we present a case of atypical lateral (outward) torsion who performed preoperative manual derotation.
October 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27757176/ultrasonography-of-extravaginal-testicular-torsion-in-neonates
#10
Przemysław Bombiński, Stanisław Warchoł, Michał Brzewski, Zofia Majkowska, Teresa Dudek-Warchoł, Maria Żerańska, Małgorzata Panek, Magdalena Drop
BACKGROUND: Extravaginal testicular torsion (ETT), also called prenatal or perinatal, occurs prenatally and is present at birth or appears within the first month of life. It has different etiology than intravaginal torsion, which appears later in life. Testicular torsion must be taken into consideration in differential diagnosis of acute scrotum and should be confirmed or ruled out at first diagnostic step. Ultrasonography is a basic imaging modality, however diagnostic pitfalls are still possible...
2016: Polish Journal of Radiology
https://www.readbyqxmd.com/read/27757175/sonographic-diagnosis-in-a-rare-aetiology-of-neonatal-scrotal-swellings-a-case-report-of-congenital-nephrotic-syndrome
#11
Shabnam Bhandari Grover, Nishith Kumar, Hemal Grover, Dinesh Kumar Taneja, Amit Katyan
BACKGROUND: Common etiologies of scrotal swelling in neonates include hydrocoele, inguinal hernia and testicular torsion; less common is epididymo-orchitis. Congenital nephrotic syndrome (CNS), a rare entity, is known to present as progressive renal failure and its leading presentation with scrotal involvement has not been reported. MATERIAL/METHODS: We report a rare case of CNS with primary clinical presentation as scrotal cellulitis and epididymo-orchitis. In this neonate, scrotal and abdominal ultrasound examination was performed and the laboratory data were obtained...
2016: Polish Journal of Radiology
https://www.readbyqxmd.com/read/27744569/core-curriculum-illustration-pediatric-testicular-torsion
#12
Nneka Amadife, Barbara Pawley
This is the 21st installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.erad.org/?page=CCIP_TOC .
December 2016: Emergency Radiology
https://www.readbyqxmd.com/read/27715712/us-of-the-inguinal-canal-comprehensive-review-of-pathologic-processes-with-ct-and-mr-imaging-correlation
#13
Margarita V Revzin, Devrim Ersahin, Gary M Israel, Jonathan D Kirsch, Mahan Mathur, Jamal Bokhari, Leslie M Scoutt
Ultrasonography (US) has a fundamental role in the initial examination of patients who present with symptoms indicating abnormalities of the inguinal canal (IC), an area known for its complex anatomy. A thorough understanding of the embryologic and imaging characteristics of the contents of the IC is essential for any general radiologist. Moreover, an awareness of the various pathologic conditions that can affect IC structures is crucial to preventing misdiagnoses and ensuring optimal patient care. Early detection of IC abnormalities can reduce the risk of morbidity and mortality and facilitate proper treatment...
October 7, 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27711092/explorative-surgery-for-acute-scrotal-pain-the-importance-of-patient-age-side-affected-time-to-surgery-and-surgeon
#14
Andrea Fabiani, Massimo Calabrese, Alessandra Filosa, Fabrizio Fioretti, Valentina Maurelli, Michele Scandola, Stefano Noventa, Flavia Tombolini, Francesco Catanzariti, Lucilla Servi, Gabriele Mammana
INTRODUCTION AND OBJECTIVE: Testicular torsion must be diagnosed quickly and accurately. The delay of the diagnosis and the subsequent delay of surgery may lead to loss testicular viability and orchidectomy. Aim of our retrospective evaluation was to define which element should be considered as major support to the clinician in distinguishing spermatic cord torsion from the other diseases mimicking this clinical emergency requiring surgical exploration. MATERIAL AND METHODS: We retrospectively reviewed all clinical and instrumental data of emergency scrotal exploration performed for acute scrotal pain at two different Urological Department in a 10 year period...
October 5, 2016: Archivio Italiano di Urologia, Andrologia
https://www.readbyqxmd.com/read/27706645/twisting-of-the-spermatic-cord-ischemia-and-reperfusion-toxicogenetic-evaluation-and-the-effects-of-phosphatidylcholine-in-pre-clinical-trials
#15
H R S Coelho, C R Berno, G R Falcão, C R Hildebrand, R J Oliveira, A C M B Antoniolli-Silva
Phosphatidylcholine is the main phospholipid present in cell membranes and in lipoproteins, and can interfere with various biological processes. This lipid also has antioxidant activity, and protects against damage caused by free radicals under conditions of ischemia/reperfusion. Therefore, the present study was designed to evaluate toxicogenetic damage caused by twisting of the spermatic cord in ischemia/reperfusion, and whether phosphatidylcholine plays a role in conditions of ischemia/reperfusion in preclinical trials...
August 29, 2016: Genetics and Molecular Research: GMR
https://www.readbyqxmd.com/read/27697579/improving-organ-salvage-in-testicular-torsion-comparative-study-between-patients-submitted-or-not-to-preoperative-manual-detorsion
#16
Aderivaldo Cabral Dias Filho, Ruytemberg Oliveira Rodrigues, Cassio L Z Riccetto, Paulo Gonçalves Oliveira
PURPOSE: Compare surgical outcomes between patients with intravaginal testicular torsion (TT) submitted or not to manual detorsion. PATIENTS AND METHODS: We retrospectively analyzed consecutively surgically treated TT patients, examined within 24 hours of symptoms, submitted or not to manual detorsion in our emergency department between January 2012 and September 2015. Explanatory variables were: age, presentation delay (PrD, time between symptoms and urological examination), surgical waiting time (SurgWait, time from examination to surgery), whether detorsion was attempted, and, if attempted, whether it was declared successful...
September 30, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27697576/testicular-torsion-presentation-trends-before-and-after-pediatric-urology-subspecialty-certification
#17
Christopher E Bayne, Patrick T Gomella, John M DiBianco, Tanya D Davis, Hans G Pohl, H G Rushton
PURPOSE: Examine testicular torsion presentation and referral trends at our institution before and after pediatric urology subspecialty certification. MATERIALS AND METHODS: We reviewed cases of testicular torsion presenting directly to our children's hospital emergency department (ED) ("direct") and transferred from an outside ED ("referred") that underwent detorsion and orchiopexy or orchiectomy between 2005 and 2015. Presentations were considered acute (<24 hours) or delayed (≥24 hours) based on time from symptom onset...
September 30, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27695481/protective-effects-of-hesperidin-in-experimental-testicular-ischemia-reperfusion-injury-in-rats
#18
Emrah Celik, Hakan Oguzturk, Nurhan Sahin, Muhammet Gökhan Turtay, Fatih Oguz, Osman Ciftci
INTRODUCTION: In this study, we aimed to determine the protective effects of hesperidin, a citrus flavonoid, in a model of testicular ischemia/reperfusion injury in rats. MATERIAL AND METHODS: Forty-two pubertal male Wistar-Albino rats were divided into six groups: group 1 - control; group 2 - 50 mg/kg hesperidin (low dose hesperidin) used without torsion (LH group); group 3 - 100 mg/kg hesperidin without torsion (HH group); group 4 - torsion/detorsion group (T/D); group 5 - T/D + 50 mg/kg hesperidin treatment group (T/D + LH); and group 6 - T/D + 100 mg/kg hesperidin treatment group (T/D + HH)...
October 1, 2016: Archives of Medical Science: AMS
https://www.readbyqxmd.com/read/27690538/role-of-diffusion-weighted-magnetic-resonance-imaging-in-a-rat-model-of-testicular-torsion
#19
Furkan Ufuk, Duygu Herek, Özkan Herek, Metin Akbulut
OBJECTIVE: The purpose of this study was to investigate the usefulness of diffusion-weighted imaging (DWI) in the detection of different degrees of testicular torsion (TT) at the 8(th) hour and testicular salvageability at the 24(th) hour of torsion. METHODS: Thirty-one rats were randomly classified into four groups. In group 1 (sham-control group) left testicle was kept outside and replaced. Left testicles were kept outside and twisted 360(o) in group 2, 720(o) in group 3 and 1080(o) in group 4...
October 3, 2016: British Journal of Radiology
https://www.readbyqxmd.com/read/27681996/effects-of-oral-zinc-administration-on-long-term-ipsilateral-and-contralateral-testes-damage-after-experimental-testis-ischaemia-reperfusion
#20
A Oral, Z Halici, Y Bayir, A Topcu, H Un, A O Bilgin, H T Atmaca
The purpose of this study was to examine potential long-term post-torsion changes that can occur in the histopathology, biochemistry and spermatogenesis of both torsioned and nontorsioned opposite testes. The study also determines the effect of zinc (Zn) administration on the testicular torsion/detorsion (T/D) damage on both testes. Forty-eight male rats, divided equally into eight groups: (SHAM), (SHAM+,Zn+), (T/D+, Zn- 1 month), (T/D+,Zn- 2 months), (T/D+,Zn- 3 months), (T/D+,Zn+ 1 months), (T/D+,Zn+ 2 months), (T/D+,Zn+ 3 months), have been used...
September 29, 2016: Andrologia
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